jeff cain who is the head of the american academy of physicians. thank you all for joining me. right to it, erin, it sounded like it was so bad that you had to basically leave your practice and you didn't believe you could take care of patients and get reimbursed enough to do the work that you needed to do. that sounds like a really dire situation. >> it was a dire situation, and many times that myself and my colleagues would have the conversation of, you know, we are going to miss something and this could be really bad and actually having the fear that this was going to be harmful to our patients at some point. >> and dr. tuxson, one of the concerns and right to it, that it is simply not reimbursing enough money no the primary care doctors. >> no question that the primary care doctors are underpaid especially compared to the specialty doctors, and there is a lot of energy to turn it around. and the basis of paying primary care doctors more is to incentivize them to participate as members of comprehensive health care teams just so that the kind of challenges that erin faced out